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Phone Consultation With A Non-Physician Health Provider

Louisiana rates for HCPCS 98966

This service covers a phone conversation between a patient and a qualified healthcare professional who is not a physician, to discuss a health concern for an existing patient. The call involves real medical discussion rather than simply scheduling or administrative matters, and covers a shorter portion of time.

Rates data updated July 2026.

How much does Phone Consultation With A Non-Physician Health Provider cost?

$12.88

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $20.42 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$11.48 to $15.85
FacilityA hospital or hospital-owned outpatient department$20.42$12.88 to $21.88

How much rates vary

Facilitymedian $20 · 10th to 90th $12 to $22Professionalmedian $13 · 10th to 90th $10 to $20
$5$10$20$50facility $20professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$20.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.23
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.24
Typical High
$12.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.30
Typical High
$13.80
Christus
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.85
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.18
Typical High
$21.88

Where Louisiana sits

The same service costs 2.0 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Louisiana· 44th of 51

$12.88

MN $25.12DC $12.59

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.